Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2024-05-28-22
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994245 DEA: 051H4304 EFIS: 0516000073 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-101-21.4/21.9 |
| Award Date | 03/02/2023 |
| Closeout Date | Not set |
| Work Description | San Jose Creek Bridge replacement |
| Location Description | SANTA BARBARA COUNTY IN GOLETA FROM ROUTE 101/217 SEPARATION TO 0.3 MILE NORTH OF SAN JOSE CREEK BRIDGE |
| QA Service Level | 1 (Verified on 09/19/2022) |
Sample Information
| Sample Taken Date | 05/28/2024 | Sample Unique Key | 22 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 05/31/2024 |
| Sample type | Acceptance | A brief description of the sample | SS-1H |
| The quantity of what the sample constitutes | 2 JUGS OF EMULSION | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | G | Last name of sampler or witnessed by | ADKINS |
| Title of sampler | TE | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Pavement Coatings | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphaltic Emulsion | Emulsion Grade | SS-1h |
|---|---|---|---|
| Lot Number | Not set | Sub Lot | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-05-28-22-2 AASHTO T59-22 (Verified)